Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European Workshop on Periodontology on Bone Regeneration

Søren Jepsen, Frank Schwarz, Luca Cordaro, Jan Derks, Christoph H.F. Hämmerle, Lisa J. Heitz-Mayfield, Federico Hernández-Alfaro, Henny J.A. Meijer, Nadja Naenni, Alberto Ortiz-Vigón, Bjarni Pjetursson, Gerry M. Raghoebar, Stefan Renvert, Isabella Rocchietta, Mario Roccuzzo, Ignacio Sanz-Sánchez, Massimo Simion, Cristiano Tomasi, Leonardo Trombelli, Istvan Urban

Research output: Contribution to journalArticle

Abstract

Background and Aims: Bone augmentation procedures to enable dental implant placement are frequently performed. The remit of this working group was to evaluate the current evidence on the efficacy of regenerative measures for the reconstruction of alveolar ridge defects. Material and Methods: The discussions were based on four systematic reviews focusing on lateral bone augmentation with implant placement at a later stage, vertical bone augmentation, reconstructive treatment of peri-implantitis associated defects, and long-term results of lateral window sinus augmentation procedures. Results: A substantial body of evidence supports lateral bone augmentation prior to implant placement as a predictable procedure in order to gain sufficient ridge width for implant placement. Also, vertical ridge augmentation procedures were in many studies shown to be effective in treating deficient alveolar ridges to allow for dental implant placement. However, for both procedures the rate of associated complications was high. The adjunctive benefit of reconstructive measures for the treatment of peri-implantitis-related bone defects has only been assessed in a few RCTs. Meta-analyses demonstrated a benefit with regard to radiographic bone gain but not for clinical outcomes. Lateral window sinus floor augmentation was shown to be a reliable procedure in the long term for the partially and fully edentulous maxilla. Conclusions: The evaluated bone augmentation procedures were proven to be effective for the reconstruction of alveolar ridge defects. However, some procedures are demanding and bear a higher risk for post-operative complications.

Original languageEnglish
Pages (from-to)277-286
Number of pages10
JournalJournal of Clinical Periodontology
Volume46
Issue numberS21
DOIs
Publication statusPublished - Jun 2019

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Alveolar Process
Bone Regeneration
Regeneration
Education
Bone and Bones
Peri-Implantitis
Transverse Sinuses
Dental Implants
Sinus Floor Augmentation
Maxilla
Meta-Analysis

Cite this

Jepsen, Søren ; Schwarz, Frank ; Cordaro, Luca ; Derks, Jan ; Hämmerle, Christoph H.F. ; Heitz-Mayfield, Lisa J. ; Hernández-Alfaro, Federico ; Meijer, Henny J.A. ; Naenni, Nadja ; Ortiz-Vigón, Alberto ; Pjetursson, Bjarni ; Raghoebar, Gerry M. ; Renvert, Stefan ; Rocchietta, Isabella ; Roccuzzo, Mario ; Sanz-Sánchez, Ignacio ; Simion, Massimo ; Tomasi, Cristiano ; Trombelli, Leonardo ; Urban, Istvan. / Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European Workshop on Periodontology on Bone Regeneration. In: Journal of Clinical Periodontology. 2019 ; Vol. 46, No. S21. pp. 277-286.
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abstract = "Background and Aims: Bone augmentation procedures to enable dental implant placement are frequently performed. The remit of this working group was to evaluate the current evidence on the efficacy of regenerative measures for the reconstruction of alveolar ridge defects. Material and Methods: The discussions were based on four systematic reviews focusing on lateral bone augmentation with implant placement at a later stage, vertical bone augmentation, reconstructive treatment of peri-implantitis associated defects, and long-term results of lateral window sinus augmentation procedures. Results: A substantial body of evidence supports lateral bone augmentation prior to implant placement as a predictable procedure in order to gain sufficient ridge width for implant placement. Also, vertical ridge augmentation procedures were in many studies shown to be effective in treating deficient alveolar ridges to allow for dental implant placement. However, for both procedures the rate of associated complications was high. The adjunctive benefit of reconstructive measures for the treatment of peri-implantitis-related bone defects has only been assessed in a few RCTs. Meta-analyses demonstrated a benefit with regard to radiographic bone gain but not for clinical outcomes. Lateral window sinus floor augmentation was shown to be a reliable procedure in the long term for the partially and fully edentulous maxilla. Conclusions: The evaluated bone augmentation procedures were proven to be effective for the reconstruction of alveolar ridge defects. However, some procedures are demanding and bear a higher risk for post-operative complications.",
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Jepsen, S, Schwarz, F, Cordaro, L, Derks, J, Hämmerle, CHF, Heitz-Mayfield, LJ, Hernández-Alfaro, F, Meijer, HJA, Naenni, N, Ortiz-Vigón, A, Pjetursson, B, Raghoebar, GM, Renvert, S, Rocchietta, I, Roccuzzo, M, Sanz-Sánchez, I, Simion, M, Tomasi, C, Trombelli, L & Urban, I 2019, 'Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European Workshop on Periodontology on Bone Regeneration' Journal of Clinical Periodontology, vol. 46, no. S21, pp. 277-286. https://doi.org/10.1111/jcpe.13121

Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European Workshop on Periodontology on Bone Regeneration. / Jepsen, Søren; Schwarz, Frank; Cordaro, Luca; Derks, Jan; Hämmerle, Christoph H.F.; Heitz-Mayfield, Lisa J.; Hernández-Alfaro, Federico; Meijer, Henny J.A.; Naenni, Nadja; Ortiz-Vigón, Alberto; Pjetursson, Bjarni; Raghoebar, Gerry M.; Renvert, Stefan; Rocchietta, Isabella; Roccuzzo, Mario; Sanz-Sánchez, Ignacio; Simion, Massimo; Tomasi, Cristiano; Trombelli, Leonardo; Urban, Istvan.

In: Journal of Clinical Periodontology, Vol. 46, No. S21, 06.2019, p. 277-286.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European Workshop on Periodontology on Bone Regeneration

AU - Jepsen, Søren

AU - Schwarz, Frank

AU - Cordaro, Luca

AU - Derks, Jan

AU - Hämmerle, Christoph H.F.

AU - Heitz-Mayfield, Lisa J.

AU - Hernández-Alfaro, Federico

AU - Meijer, Henny J.A.

AU - Naenni, Nadja

AU - Ortiz-Vigón, Alberto

AU - Pjetursson, Bjarni

AU - Raghoebar, Gerry M.

AU - Renvert, Stefan

AU - Rocchietta, Isabella

AU - Roccuzzo, Mario

AU - Sanz-Sánchez, Ignacio

AU - Simion, Massimo

AU - Tomasi, Cristiano

AU - Trombelli, Leonardo

AU - Urban, Istvan

PY - 2019/6

Y1 - 2019/6

N2 - Background and Aims: Bone augmentation procedures to enable dental implant placement are frequently performed. The remit of this working group was to evaluate the current evidence on the efficacy of regenerative measures for the reconstruction of alveolar ridge defects. Material and Methods: The discussions were based on four systematic reviews focusing on lateral bone augmentation with implant placement at a later stage, vertical bone augmentation, reconstructive treatment of peri-implantitis associated defects, and long-term results of lateral window sinus augmentation procedures. Results: A substantial body of evidence supports lateral bone augmentation prior to implant placement as a predictable procedure in order to gain sufficient ridge width for implant placement. Also, vertical ridge augmentation procedures were in many studies shown to be effective in treating deficient alveolar ridges to allow for dental implant placement. However, for both procedures the rate of associated complications was high. The adjunctive benefit of reconstructive measures for the treatment of peri-implantitis-related bone defects has only been assessed in a few RCTs. Meta-analyses demonstrated a benefit with regard to radiographic bone gain but not for clinical outcomes. Lateral window sinus floor augmentation was shown to be a reliable procedure in the long term for the partially and fully edentulous maxilla. Conclusions: The evaluated bone augmentation procedures were proven to be effective for the reconstruction of alveolar ridge defects. However, some procedures are demanding and bear a higher risk for post-operative complications.

AB - Background and Aims: Bone augmentation procedures to enable dental implant placement are frequently performed. The remit of this working group was to evaluate the current evidence on the efficacy of regenerative measures for the reconstruction of alveolar ridge defects. Material and Methods: The discussions were based on four systematic reviews focusing on lateral bone augmentation with implant placement at a later stage, vertical bone augmentation, reconstructive treatment of peri-implantitis associated defects, and long-term results of lateral window sinus augmentation procedures. Results: A substantial body of evidence supports lateral bone augmentation prior to implant placement as a predictable procedure in order to gain sufficient ridge width for implant placement. Also, vertical ridge augmentation procedures were in many studies shown to be effective in treating deficient alveolar ridges to allow for dental implant placement. However, for both procedures the rate of associated complications was high. The adjunctive benefit of reconstructive measures for the treatment of peri-implantitis-related bone defects has only been assessed in a few RCTs. Meta-analyses demonstrated a benefit with regard to radiographic bone gain but not for clinical outcomes. Lateral window sinus floor augmentation was shown to be a reliable procedure in the long term for the partially and fully edentulous maxilla. Conclusions: The evaluated bone augmentation procedures were proven to be effective for the reconstruction of alveolar ridge defects. However, some procedures are demanding and bear a higher risk for post-operative complications.

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KW - bone replacement graft

KW - complications/adverse events

KW - consensus statement

KW - dental implants

KW - elevation

KW - guided bone regeneration

KW - peri-implantitis

KW - ridge augmentation

KW - sinus floor

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DO - 10.1111/jcpe.13121

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EP - 286

JO - Journal of Clinical Periodontology

JF - Journal of Clinical Periodontology

SN - 0303-6979

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